Issue Corrected: MaineCare Primary Claims Paying at Zero, TR 38415

April 9, 2014

The issue where some claims were paying $0 when billing MaineCare for Part B services as the primary payer for a member who has Medicare Part A only has been corrected. Below, is the original message we sent on January 23, 2014, explaining the issue that has now been corrected:

MaineCare Primary Claims Paying at Zero, TR 38415

When billing MaineCare as primary payer, some claims are paying $0 in error. This issue is occurring when a member has Medicare Part A only, but the provider is billing Medicare Part B services to MaineCare. The claim is processing MaineCare as primary, but the system is not calculating the payment correctly. We will notify you when this issue is corrected and claims will be reprocessed. No provider action is needed.